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Self-Funded With Spencer

Self-Funded With Spencer

By: Spencer Smith
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Self-funded with Spencer shares inspiring conversations with the most successful people in healthcare - company founders, CEOs, entrepreneurs, doctors, and sales leaders - to educate YOU to become the best version of yourself. Support this podcast: https://anchor.fm/spencer-harlan-smith/supportSpencer Smith Economics
Episodes
  • The "Virtual Wallet" Strategy for Lowering Medical Claims
    Dec 9 2025

    "Why in every other industry can we just check out and know exactly what it's going to cost? Why can't it be the same in healthcare? Why are we still mailing physical checks in 2025?" - Cory Morin


    My guest this week is Cory Morin, Co-Founder of Benji Card, who has developed a "virtual wallet" strategy that is revolutionizing how self-funded plans pay for care. Cory joined the show to explain how giving members and care coordinators instant access to funds can drastically lower medical claim costs.


    Cory breaks down the mechanics of the Benji Card, a virtual payment solution that acts as the financial rails for modern cost containment. We discuss the strategy behind it: by guaranteeing providers immediate payment via a virtual card, plans can negotiate significant discounts (often cash rates) that aren't available through traditional insurance.


    We explore how this "virtual wallet" approach aligns incentives - providers get paid instantly without administrative bloat, and employers save 30-50% on claims. We also dive into Cory's entrepreneurial journey and why he believes this model could eventually make traditional PPO networks obsolete.


    Tune in to learn how a virtual wallet strategy can fix the broken economics of healthcare.



    Chapters:


    (00:00:00) The "Virtual Wallet" Strategy for Lowering Medical Claims

    (00:12:16) From Insurance Agent to Fintech Founder

    (00:20:59) What is the Benji Card?

    (00:26:43) Why Healthcare Needs Virtual Payments

    (00:29:40) How Instant Payments Negotiate Lower Rates

    (00:38:51) Empowering Care Coordinators with a Virtual Wallet

    (00:44:03) The Challenge of Scaling Fintech in Healthcare

    (00:49:24) Will Virtual Wallets Replace Networks?



    Key Links for Social:


    @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded


    Listen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02


    Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286


    Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/


    Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

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    1 hr
  • J&J's PBM Lawsuit Dismissed, with Chris Hamilton
    Dec 5 2025

    If you'd like your question answered on next month's episode, call/text 469-213-6381 and leave us a voicemail/text.


    Each month on Last Month In Healthcare, producer Nathaniel joins me to discuss the previous month's podcasts, headlines, and listener-submitted questions.


    This month, we’re joined by Chris Hamilton! We talk about the J&J lawsuit being dismissed, Eli Lilly switching PBMs, AI in healthcare, and much more. We also play a Christmas game called Home Alone: The Wet Bandit's Bills, where Chris and I try to guess the average hospital price for the injuries incurred by the bandits from the Home Alone films.


    Chapters:

    0:00 - Intro

    0:42 - J&J Lawsuit Dismissed

    9:20 - Eli Lily Switches PBMs

    11:17 - New FDA Rules On Biosimilars

    16:36 - AI Adoption In The Healthcare Industry

    25:21 - Survey On At-Home Medical Devices

    29:57 - Home Alone: The Wet Bandit's Bills

    42:32 - Ask Spencer Anything


    Sources:

    • https://www.healthcaredive.com/news/fda-biosimilars-guidance-speed-development-comparative-efficacy-studies/804191/
    • https://www.beckerspayer.com/legal/judge-dismisses-lawsuit-accusing-jj-of-mismanaging-employee-drug-benefits/?origin=PayerE&utm_source=PayerE&utm_medium=email&utm_content=newsletter
    • https://www.healthcare-brew.com/stories/2025/11/25/eli-lilly-switches-big-3-pbm-alternative-transparent-rival
    • https://www.fiercehealthcare.com/health-tech/amid-shutdown-health-it-vendors-say-hospitals-are-cutting-back-spending
    • https://www.techtarget.com/virtualhealthcare/news/366633680/Survey-At-home-monitoring-devices-popular-affordable
    • https://pubmed.ncbi.nlm.nih.gov/41265449/
    • https://www.emarketer.com/content/ai-spending-healthcare-outpaces-overall-us-economy-

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    51 mins
  • Why Private Equity is Pouring Billions Into Healthcare
    Dec 2 2025

    "Success leaves clues. And sometimes that clue is healthy leadership that is just able to take them from plateau to plateau." - Trey Marinello


    My guest this week, Trey Marinello of Houlihan Lokey, is an expert in a topic everyone is constantly talking about: Private Equity. Trey joined the show to demystify the world of investment banking and explain exactly why private equity firms are pouring billions of dollars into the employer-sponsored healthcare space.


    Trey breaks down the current trends, explaining why PE isn't just about leverage and debt, but about "turning the propeller faster" through distribution expertise and strategic growth. We discuss why categories like TPAs, cost containment, and innovative funding models are red-hot, while "wellness" and "population health" have struggled to prove their ROI.


    We also explore the potential of AI to revolutionize mental health care, why “ICHRA” is still a wild card, and how smart brokers are becoming essential value-drivers in M&A deals.


    Tune in for a masterclass on following the money in healthcare!



    Chapters:


    (00:00:00) Why Private Equity is Pouring Billions Into Employer Healthcare

    (00:00:35) Why Private Equity Loves Healthcare

    (00:08:59) What Does an Investment Banker Actually Do?

    (00:17:25) How PE Firms Use Distribution to Scale

    (00:20:06) Is ICHRA the Future or a Fad?

    (00:28:50) The Rise of Alternative Funding

    (00:42:34) Why "Wellness" Investments Failed

    (00:57:16) How Brokers Drive Enterprise Value

    (01:02:47) The Hottest Category in Healthcare M&A



    Key Links for Social:

    @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded


    Listen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02

    Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286


    Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/


    Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

    Show More Show Less
    1 hr and 5 mins
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